ASGE Postgraduate Course at ACG 2022: Expanding the Scope of Fundamental and Advanced Endoscopy (On-Demand) | October 2022-Point Counterpoint: Malignant Gastric Outlet Obstruction. EUS Guided Gastro-Jejunostomy Is the Preferred Endoscopic Therapy in 2022

Point Counterpoint: Malignant Gastric Outlet Obstruction. EUS Guided Gastro-Jejunostomy Is the Preferred Endoscopic Therapy in 2022

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Video Transcription

Video Summary

In this video, Mwenke Shab from Johns Hopkins discusses endoscopic therapy for malignant gastric outlet obstruction, specifically focusing on endoscopic ultrasound-guided gastrojejunostomy (EUS-GJ). He explains that EUS-GJ is a preferred option due to its advantages of bypassing the tumor and providing a minimally invasive procedure. Shab demonstrates the technique using a direct EUS-GJ or freehand technique, and highlights the importance of properly deploying the stent. He compares the outcomes of EUS-GJ to duodenal stenting and surgical gastrojejunostomy, showing that EUS-GJ is superior in preventing recurrent gastric outlet obstruction. However, he acknowledges that EUS-GJ is technically challenging and requires expertise. Shab concludes by expressing optimism for the future of EUS-GJ, anticipating the development of devices to make the procedure easier.

Asset Subtitle

Mouen A. Khashab, MD, MASGE

Keywords

endoscopic therapy

malignant gastric outlet obstruction

endoscopic ultrasound-guided gastrojejunostomy

EUS-GJ

minimally invasive procedure